Peers Vs Professionals in Basic Life Support Training

Basic Life Support Training Course Clinical Trial

Official title:

Peers Versus Professional Training of Basic Life Support in Syria: a Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03511872
• Other study ID #: 2210110616
• Status: Completed
• Phase: N/A
• Start date: March 1, 2016
• Est. completion date: October 1, 2016

Study information

• Verified date: April 2018
• Source: Damascus University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

An Evaluation of Peer-led basic life support training course compared with professional-led course in a limited resource environment; A randomized controlled trial

Description:

Peer training has been identified as a useful tool for delivering undergraduate training in basic life support (BLS) which is fundamental as an initial response in cases of emergency.

This study aimed to (1) Evaluate the efficacy of peer-led model in basic life support training among medical students in their first three years of study, compared to professional-led training and (2) To assess the efficacy of the course program and students' satisfaction of peer-led training.

A randomized controlled trial with blinded assessors will be conducted on 72 medical students from the pre-clinical years (1st to 3rd years in Syria) at Syrian Private University. Students will be randomly assigned to peer-led or to professional-led training group for one-day-course of basic life support skills.

Analysis will be done on students who underwent checklist based assessment using objective structured clinical examination design (OSCE) (practical assessment of BLS skills) and answered BLS knowledge checkpoint-questionnaire.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 72
• Est. completion date: October 1, 2016
• Est. primary completion date: May 1, 2016
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Medical student from 1st, 2nd and third year at Syrian Private University.

• Sign the consent form.

Exclusion Criteria:

• presence of any health problems preventing students from doing physical exercise.

• any serious acute or chronic illness (infectious, psychological, physical).

• scheduling conflict between the date of the BLS course and other faculty's classes or exams.

• missing the course or the assessment for any reason.

• refusing to sign the consent and having any prior experience in BLS skills (previously trained on BLS).

Related Conditions & MeSH terms

• Basic Life Support Training Course

Intervention

Other:
• Basic life support training
A course design was made to be consistent with ERC guidelines with local modifications made by emergency professionals in duration, instructor-to-trainee ratio, course materials, methods to deliver these materials theoretically, and the type of the manikin used to practice CPR. One-day-course consisting of 75, 20, 20, 20 minutes for theoretical BLS, chocking, recovery position, the practical representation of BLS scenario respectively followed by 40-minute practical training on BLS skills for each subgroup. Both arms of the study follow the same timeline and no extra time is given to any group. Same manikins were used for the training and the assessment. On the day of the experiment students in each arm are divided into 4 subgroups of maximum 9 students, each led by two trainers of BLS skills with a maximum ratio of 2 instructors to 9 students per group.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Damascus University

References & Publications (5)

Association AH. ECC Course Evaluation. 2012.

Charlier N, Van Der Stock L, Iserbyt P. Peer-assisted Learning in Cardiopulmonary Resuscitation: The Jigsaw Model. J Emerg Med. 2016 Jan;50(1):67-73. doi: 10.1016/j.jemermed.2015.04.002. Epub 2015 Jun 20. — View Citation

Fujiwara T, Nishimura M, Honda R, Nishiyama T, Nomoto M, Kobayashi N, Ikeda M. Comparison of peer-led versus professional-led training in basic life support for medical students. Adv Med Educ Pract. 2011 Jul 26;2:187-91. doi: 10.2147/AMEP.S22948. Print 2011. — View Citation

Perkins GD, Handley AJ, Koster RW, Castrén M, Smyth MA, Olasveengen T, Monsieurs KG, Raffay V, Gräsner JT, Wenzel V, Ristagno G, Soar J; Adult basic life support and automated external defibrillation section Collaborators. European Resuscitation Council Guidelines for Resuscitation 2015: Section 2. Adult basic life support and automated external defibrillation. Resuscitation. 2015 Oct;95:81-99. doi: 10.1016/j.resuscitation.2015.07.015. Epub 2015 Oct 15. — View Citation

Perkins GD, Hulme J, Bion JF. Peer-led resuscitation training for healthcare students: a randomised controlled study. Intensive Care Med. 2002 Jun;28(6):698-700. Epub 2002 Apr 24. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	BLS practical skills	A practical simulated scenario assessment using a checklist based evaluation in objective structured clinical examination (OSCE) design. The checklist is constructed in accordance to European resuscitation council (ERC) guideline. Students should perform each point correctly to pass the assessment (1- Safe approach, 2- call for help, 3- opening airway, 4-checking cardiopulmonary situation, 5- call ambulance, 6- CPR with effective depth, 7-rate and 8-position, 9-rescue breaths).	Training and assessment were held at the same day of the experiment for both groups, 1) within 24 hours of providing the bls training course.
Secondary	BLS knowledge questionnaire	a 20-item questionnaire with 3 checkpoints per item (60-point-scale) derived from ERC materials after testing the applicability of the questionnaire by a pilot study.	Training and assessment were held at the same day of the experiment for both groups. 1) within 24 hours of providing the bls training course.
Secondary	Students' evaluation of BLS course survey	Students' reported outcomes using American Heart Association (AHA) survey of BLS course evaluation. This survey aims to investigate students' satisfaction and their opinions about the course.	Training and assessment were held at the same day of the experiment for both groups. 1) within 24 hours of providing the bls training course.